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Republic of the Philippines) ______________________ ______________________ ) S.S.
AFFIDAVIT OF SERVICE I, ______________________________, of legal age, Filipino, married and a resident of _______________________ __________________________________ ______________________ ________________, _____, after having been duly sworn to in accordance with law, do hereby depose and say that: 1.
I am the the Supe Superv rvis isor or of Spa Spa Dep Depar artm tmen entt of ___ _____ ____ ____ ____ ____ ____ ___ _
2. On ____, I was was taske sked to serve a copy of the Memorandum addressed to __________________ 3. That That in comp compli lian ance ce wit with h the the sai said d ord order er,, I ser serve ved d the the sam same e at at her her home home addr addres esss at ________________ ________________ on such date at 10:30 A.M.; 4. Upon serv ervice of the said letter ter to Ms. Yap, the the latte tter after ter read eading and accepting the same, audaciously refused to sign the receiving copy thereof; 5. Beca Becaus use e of such such ref refus usal al,, I noted noted suc such h deve develo lopm pmen entt on our our rece receiv ivin ing g copy copy and and sign the same after affixing the date and time of such service; 6.
I am am exe execu cuti ting ng this this docu docume ment nt to to atte attest st to the trut truth h of of the the fore forego goin ing; g;
AFFIANT FURTHER SAYETH NAUGHT. IN WITN WITNES ESS S WHER WHEREO EOF, F, I hereby affix _________________, _________________, in ______________________ __________________________. ____.